The Australian National University, Canberra, Australia.
Asia Pac J Public Health. 2012 Nov;24(6):1013-22. doi: 10.1177/1010539511408712. Epub 2011 May 5.
Studies on socioeconomic and epidemiological effects of hearing impairment in middle-income countries of Southeast Asia are still quite scarce. This study examines the association between hearing impairment and health outcomes in Thailand. Data derived from a cohort of 87 134 Open University adults aged 15 to 87 years residing throughout Thailand. Approximately 8.5% of cohort members reported trouble hearing and 0.13% reported being deaf. After adjusting for age and gender, poor self-assessed health was strongly associated with some trouble hearing (odds ratio [OR] = 2.70, 95% confidence interval [CI] = 2.48-2.93) and deafness (OR = 3.08, 95% CI = 1.73-5.50). Population attributable fractions for hearing impairment were 12.9% for poor self-assessed health, 9.8% for poor psychological health, 3.3% for metabolic disorders, and 4.1% for cardiovascular conditions. More attention needs to be paid on hearing impairment with regular check-ups and early detections.
在东南亚中等收入国家,有关听力障碍的社会经济和流行病学影响的研究仍然相当匮乏。本研究考察了听力障碍与泰国健康结果之间的关联。数据来自泰国各地 87134 名开放大学 15 至 87 岁成年人的队列研究。大约 8.5%的队列成员报告有听力困难,0.13%的人报告有耳聋。在调整年龄和性别后,自我评估健康状况较差与一些听力困难(比值比 [OR] = 2.70,95%置信区间 [CI] = 2.48-2.93)和耳聋(OR = 3.08,95% CI = 1.73-5.50)密切相关。听力障碍的人群归因分数为自我评估健康状况差 12.9%、心理健康状况差 9.8%、代谢紊乱 3.3%和心血管疾病 4.1%。需要更加关注听力障碍,定期进行检查和早期发现。